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  • Ssa-795 2020

Get Ssa-795 2020

Form Approved OMB No. 0960-0045 Social Security Administration STATEMENT OF CLAIMANT OR OTHER PERSON Name of Wage Earner Self-employed Person or SSI Claimant Name of Person Making Statement If other than above wage earner self-employed person or SSI claimant Relationship to Wage Earner Self-Employed Person or SSI Claimant Understanding that this statement is for the use of the Social Security Administration I hereby certify that - Form SSA-795 09-2015 ef 09-2015 Destroy Prior Editions I declare under penalty of perjury that I have examined all the information on this form and on any accompanying statements or forms and it is true and correct to the best of my knowledge. I understand that anyone who knowingly gives a false statement about a material fact in this information or causes someone else to do so commits a crime and may be subject to a fine or imprisonment. SIGNATURE OF PERSON MAKING STATEMENT Signature First name middle initial last name Write in ink Date Month day year Teleph....

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How to fill out the SSA-795 online

The SSA-795, also known as the Statement of Claimant or Other Person, is an important form used by individuals seeking assistance from the Social Security Administration. This guide provides you with step-by-step instructions on how to accurately complete the SSA-795 online.

Follow the steps to fill out the SSA-795 online effectively.

  1. Click ‘Get Form’ button to obtain the form and access it in the online editor.
  2. Begin by entering the name of the wage earner, self-employed person, or SSI claimant in the designated field, ensuring accuracy for identification purposes.
  3. Next, input the Social Security number corresponding to the individual named in the previous step. This number is crucial for proper processing.
  4. If another individual is making the statement, provide their name, indicating their relationship to the wage earner, self-employed person, or SSI claimant. Clarity is essential.
  5. Review the certification statement, ensuring you understand its significance and implications. This statement confirms the truthfulness of the information provided.
  6. Sign in the indicated area, providing your first name, middle initial, and last name in ink. This signature verifies your statement.
  7. Fill in the date of signing, formatted as month, day, and year, followed by your telephone number, including the area code.
  8. Complete your mailing address, ensuring all information is accurate and detailed, including city, state, and ZIP code.
  9. If you have signed this form using a mark (X), ensure that two witnesses provide their signatures and addresses in the appropriate fields.
  10. After completing all necessary fields, review the form for accuracy before saving your changes. You can then download, print, or share the completed SSA-795 as needed.

Complete your SSA-795 online today to ensure a smooth process with the Social Security Administration.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA-795
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